Wendy Sue Keller, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R055693-1 Issued in NY

Practice address

633 Gidney Ave Ste 2
Newburgh, NY 12550-2805

Phone

(845) 242-8375

Fax

(866) 619-5710

NPI assigned

Oct 20, 2006

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Wendy Keller, LCSW, LLCGroup PAC ID 7810169646, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Hospice of Orange & Sullivan Counties, Inc.

  • Community Based Hospice Care Agency
  • Newburgh, NY
  • NPI 1316945660

  Corporate Director

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wendy Keller, LCSW, LLC

  dba Behavioral Health Services of the Hudson Valley

  • Clinical Social Worker
  • Newburgh, NY
  • NPI 1982992889
  Medicare reassignment Care Compare group NPD Authorized official
• Psyprobill, LLC

  dba Behavioral Health Management Services

  • Community/Behavioral Health Agency
  • Newburgh, NY
  • NPI 1184076358
  Medicare reassignment NPD Authorized official
• East Orange Psychiatric Associates, LLP

  • Clinical Social Worker
  • Newburgh, NY
  • NPI 1508918590
  NPD (past)
• Todd Alvin Rochman MD PC

  • Psychiatry Physician
  • Newburgh, NY
  • NPI 1346521820

  Clinical

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1467534925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 GIDNEY AVE STE 2",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125502805",
            "telephone_number": "845-242-8375",
            "fax_number": "866-619-5710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 GIDNEY AVE STE 2",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125502805",
            "telephone_number": "845-242-8375",
            "fax_number": "866-619-5710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3068 Route 9W",
            "address_2": "Suite 400",
            "address_purpose": "LOCATION",
            "city": "New Windsor",
            "state": "NY",
            "postal_code": "12553",
            "country_code": "US",
            "telephone_number": "845-242-8375",
            "fax_number": "845-458-4480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLER",
        "first_name": "WENDY",
        "middle_name": "SUE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R055693-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP PROVIDER",
            "identifier": "400585",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mandip Kaur
• Veronica A Kay, PNP
• Jesse Keese
• Kathleen Keller
• Taylor Keller
• Kelly Hannon
• Emily Kelly
• Linda Kelly, RN
• Rebecca N Kelly, M.S.ED CCC-SLP
• Yvanna Dell Kenan, PHARMD

• Clinical Social Worker in Newburgh, NY
• Providers in Newburgh, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.